AMS Supply Order Form

	A	B	C	D	E	F
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3	Teacher Name: __________________		Company Name:______________________________________________
4	Date:	_____________________________________	Street Address:_______________________________________________
5	School Name :___________________		City, State & Zipcode__________________________________________
6			Phone Number:_______________ Fax Number: ____________________
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8	Priority #	*Item Description*	*Model/ Item #*	*QTY*	*Unit Cost*	*Total Cost*
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19					Subtotal:	$_____________
20					Shipping & Handling (10% of order subtotal):	$_____________
21					Grand Total:	$_____________
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